What I wish they'd told me

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Nonnie

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Aug 27, 2008
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Hello friends,

I have been "lurker" since the end of may. My right knee total knee replacement was May 5, 2008. I am just a couple months from being 57 years old, and weigh some 30 pounds more than I should.

Some of the messages on this forum were very helpful to me, and for that, I wish to thank you all.

There are some things that I wish I'd known before surgery. Both the doctor and the hospital game me a stupid little book that made it sound like I would be up and around in just a few weeks, and carefree within a month or so. If I had the author of that book nearby, I'd slap him or her silly!

What I want people who are getting ready for surgery to know is:

1. You will be happy you had the surgery, but my guess is won't be until about week 7. That is when I thought the whole thing was actually a good idea.

2. No matter what the book says, you won't be ready to go back to work at week 4 or 5 (though I know some folks must). You will probably still be wanting to nap in the afternoon.

3. Your "new" knee will weigh a skillion pounds more than your old one (metal weighs more than bone), which means it will tug and pull on your healing muscles when you try to sleep. It will also bang into your other leg if you aren't careful. I had a big bruise near my left knee one morning, and the only thing I could think of was that it had been assaulted by my new knee! So, buy yourself a pillow, but not one so fat that it throws your hip joint out of place.

4. Don't be surprised if you cry at the drop of a hat for 2 or 3 weeks after surgery. There is such a thing as post-surgical depression. In addition, you had just had a large assault on your body, and are suddenly finding yourself dependent on others in ways you never dreamed you would be.

5. Don't indulge in unrealistic expectations. While I have never had the range of motion (ROM) problems others on this site describe, I became furious with myself over lack of stamina, and several times pushed my poor body beyond what it should have been asked to do. Finally, my PT guy said, "for crying out loud, give yourself a break! Someone just sawed into your leg bones and you are complaining because you can't do the whole grocery store routine without hurting!" (This was maybe week 5 or 6...)

As well, don't expect your knee to stop swelling at week 3. This is not gall bladder surgery. I have a friend who is 14 months out from surgery and he still finds his ice pack more attractive than his beautiful wife.

6. Lose weight if you can. You will probably lose when you come home from the hospital, if my experience is common. I simply didn't want to eat for the first couple of weeks, and had to work to find something palatable. However, I need to shed more pounds, and it is still work.

Well, I hope this is useful to someone. Thanks again for being there when I needed reassurance.

Nonnie
 
Nonnie, So glad you stopped lurkering. We need everyones input. I think without a doubt there are some valid points among those you made, some I had not even thought about but then no one ever said I was all that smart. LOL Maybe I didn't realize my knees were weighing more because I got both done at the same time but boy! There were a couple of major bruises I couldn't figure out that I think you just explained. I think the added weight pulling on mucsles and tendons and whatnot is pretty astute too. I never had much swelling and was more than a little surprised about that and I have been pretty much pain free for several weeks. I had my surgery on May 13. I haven't needed naps for some time either, thank God, the only naps I take now are when I don't get enough sleep cuz I stayed up too late the night before. I don't see how the guys on here go back to work so soon, there is no way energy wise, pain wise and stamina wise I could go back as early as some of them do. I am especially in awe of the ones who are care takers of children and who teach, the thought of one child in my care in enough to send me into a major tailspin. This is a great group and I don't know what I would have done without them. They have helped me through one of the most frustrating and painful times in my life. I have to admit I wasn't a crier either but that is becuz I am more of a cusser. My tears throughout this was for totally different reasons, but the pain and all the rest of the process was, I am sure, a contributor. Now, if we can just get through the next year with a bit of improvement each week I will be happy. There has not been one time since surgery I regreted it, I still had pain but nothing like what I was in prior to surgery. I honestly didn't think I was going to live through the surgery I was so worn out from the pain. All in all I think we may all be different and heal in our own ways and times in the end, for the most part, at the end of the first year I think we will be back to normal. So glad to meet you. Wishing you the best of luck, Rowdy
 
Nonnie,

I am 12 weeks out now, and I agree with a lot of what you said. I thought that I was just not prepared for exactly what I was in for. I also felt like a big "baby" when I found myself crying about things. I have 3 young sons, and I really wanted to be the person that was described in the pamphlets that the doctors give out. I didn't, and still don't, understand why I am not at that place yet. True, I am much better off than I was, and I have to remind myself of that often! I do think it was worth it, I will just be prepared for the next leg (hopefully, that is not too soon)!!!

Good to hear from you, and keep your head up,
Hess
 
Hi there, Nonnie.Welcome to the forum and what an excellent post you've made for your first!

I'd just like to mention one thing though - the weight of the prosthesis is not what makes your leg feel heavy, it's an apparent heaviness caused by lack of muscle tone and swelling.

An average adult's leg weighs one third of the total body weight - thus a 200lb person's leg weighs about 66lbs give or take. The average set of knee prostheses weigh around 400-500gms, less if they are Titanium. That's about 14-17 ozs! So you can see that it's not going to make much of an impact on the leg weight.
 
I think your input was very accurate. I know the prosthesis doesn't weigh more--but it feels like it does--and the whole leg must be heavier just from the darn extra fluid in there. That's one of the great things about this board. I know I've been a bit down on and off this week because after a month of this, I'm growing tired of being an invalid--even if it is only a temporary condition. The folks here have taught me that not only is it unrealistic to expect so much, so soon--it is perfectly normal to feel that way! Thanks for sharing your hard won insights with the rest of us.
 
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